Individual
MS. ANNA MARIE LISOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
100 ELDEN ST, SUITE 10, HERNDON, VA 20170-4873
(703) 689-2000
(703) 478-6612
Mailing address
100 ELDEN ST, SUITE 10, HERNDON, VA 20170-4873
(703) 689-2000
(703) 478-6612
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024172427
VA
Other
Enumeration date
05/12/2015
Last updated
11/27/2023
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